| NPI | 1669517983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAVIS Pharmacist Manager 229-435-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007870) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |